Veterinary Services

Veterinary Services


At Two By Two, we strive to stay on the forefront of veterinary medicine. Our industry is focusing more and more on disease prevention and helping pets live healthy lifestyles. "Wellness" refers to all the ways we can help your pet live a long and healthy life. We help you take an active role in your pet's health and tailor vaccines, parasite prevention, diet, exercise, and baseline diagnostics to fit your lifestyle. Annual, or biannual, exams are an important way for us to help you stay on top of your pet's health care needs.

Sick Pets

We offer a variety of diagnostics to help diagnose your pet. We can run in-house CBC/Chemistry panels, feline thyroid, urine analysis, fecal samples, and giardia/parvo tests. We also have digital full size and dental x-ray machines. We have an ultrasound and a variety of other machines (EKG, tonopen, etc)

Once we get a diagnosis we can either hospitalize your pet (if needed) or send you home with appropriate medications. If we feel that your pet needs more diagnostics at a specialty hospital we will help you with a referral.


Our doctors all enjoy surgery, from routine spays/neuters, dentals, C-sections, abdominal exploratories, to mass removals. There are a few select specialty surgeries that we do not perform (ie orthopedic), but we can help you find a referral hospital for your needs.

Large Animal Patients

Several of our doctors share an interest in working with horses and/or small ruminants and camelids. We have a portable x-ray and ultrasound unit for equine patients and can help you with everything from routine vaccines/coggins, to pre-purchase exams, to lameness evaluations. We also work with an equine dentist; Dr. Balsis schedules entire days to accompany him and provide anesthesia/sedation during his procedures. Farm calls have to be scheduled in advance, due to our busy schedule, so please call ahead!


Our doctors have experience with exotic pets. Some prefer to only see rabbits or guinea pigs, others will work with birds, reptiles, etc. However, we are NOT a specialty hospital. We can provide wellness exams for many species, blood sexing for birds, trim nails/beaks/wings. We can also treat a variety of illnesses, but a specialist may be suggested for dealing with certain diseases/specialty equipment.

Emergency Care

We are available for emergencies for our current small and large animal clients ("current" meaning we have seen your pet for a wellness exam within the last three years). However, we are not a 24-hour emergency hospital. We do not have our hospital staffed with anyone staying overnight, but we do our best to always be available to either advise or to consult with you about your situation. We may decide to meet you at the hospital or potentially refer you directly to a specialist or to a 24-hour care facility. If you are experiencing a pet emergency please call the clinic for the "on-call" veterinarian's phone number

Please note: we have six doctors who share emergency duties. We rotate our weekends and holidays between our doctors. This means you may be put in touch with any of the six rotating doctors. You will most likely be asked to leave a message on the doctor's voicemail and receive a call back as soon as possible. If the doctor is on the phone or working with another patient you may experience a delay.

If you feel that your pet needs 24-hour care, or if you have not received a call back from the doctor in a timely manner, you can call any of the following emergency clinics. Unfortunately, these are the closest hospitals available.

  • VCA Southwest Michigan Animal Emergency and Referral Center, Kalamazoo, MI: 269-381-5228
  • Animal Emergency Clinic, Mishawaka, IN: 574-259-8387
  • North Center Veterinary Emergency Center, Westville, IN: 219-881-1600

End of Life Care

Finally, we understand that euthanasia is a difficult and sensitive time. We are available for end of life preparation/guidance, hospice-type medications, and euthanasia. We do provide the option of home euthanasias for our current clients, after the doctors and owners have discussed the situation. We do our best to accommodate your wishes, but if a home euthanasia is requested we need as much time as possible to facilitate this. We do have a conversation with every owner when it's time for euthanasia- just to make sure everyone understands the options and process. We also work with a wonderful cremation service, Noah's Pet Cemetery & Pet Crematory, who can provide you with your loved one's ashes and/or memorial paw prints.

Two By Two Animal Hospital

7675 M-139

Berrien Springs, MI 49103

For general information, questions, appointment requests, call us at:

(269) 471-7042
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Monday 8:00am - 8:00pm

Tuesday 8:00am - 8:00pm

Wednesday 8:00am - 8:00pm

Thursday 8:00am - 8:00pm

Friday 8:00am - 4:00pm

Saturday Closed

Sunday Closed